Context: Fetal movement counting (FMC) has been proposed as a primary method of fetal
surveillance especially for high-risk pregnancy. Aim: This study aimed to examine the effect of
interactive training session regarding fetal movements counting on maternal outcomes among high
risk pregnant women. Methods: An experimental (pretest-posttest control group) research design
was adopted. A simple random sample of 140 high-risk pregnant women was recruited. This study
was conducted at the obstetrics and gynecology departments of Mansoura University Hospital,
Egypt. Data were collected using two tools: structured interview schedule, and state-trait anxiety
inventory. Results: the results revealed that pre-intervention, 100.0% of both the intervention and
the control groups have a poor level of knowledge. While post-intervention, 90.0% of the
intervention group have a high level of knowledge as compared to 100.0% of the control group have
a poor level of knowledge. Regarding compliance to FMC, pre-intervention, 14.3% of the
intervention group compared to 15.7% of the control group count their fetal movements. However,
post-intervention, 100.0% of the intervention group count their fetal movements compared to 15.7%
of the control group. Concerning anxiety, pre-intervention, 51.4% of the intervention group has a
high anxiety level compared to 48.6% of the control group. While post-intervention, 87.0% of the
intervention group has low anxiety level as compared to 62.9% of the control group that reported
high anxiety level. Conclusions: After implementation of the training session, there is a highly
statistically significant difference between the intervention and control groups regarding the level of
knowledge, the compliance to FMC, and the level of anxiety (p < 0.001). Therefore, conducting
such simple and effective training sessions should be encouraged and recommended for high-risk
pregnant women.